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September 3, 2019

Dear AMMS Band/Chorus/Orchestra Parents,                                                                                                              

We are so excited that your child is a member of our award winning music department! We strive each year to offer a variety of musical experiences to showcase our amazing music students and provide them with an array of performance opportunities with this year proving to be no different.

We are pleased to announce that the Autrey Mill Middle School Band, Chorus and Orchestra have been approved to attend Orlando Fest, a music performance festival in Orlando, FL. The 'Orlando Trip' will take place March 26-29, 2020 and will include an adjudicated music performance (much like LGPE) at Orlando Fest as well as tickets to Universal Studios and Islands of Adventure. This trip is being organized by the Autrey Mill MS Music Department. We will leave after lunch on March 26th and return in the evening on March 29th. We have an expected ratio of 12 students per adult.

We will have hotel accommodations and transportation will be by luxury motor coaches. Included in the trip will be 3 nights lodging at a hotel, bus transportation, performance adjudication package, 3 breakfasts, 2 lunch/dinner meals, 2-day park hopper tickets to the theme park and special entry to the awards ceremony.

The cost of the trip is $450 per student (based on quad occupancy). We will provide two major fundraisers to happen during the school year, and funds received from fundraising profits will be applied towards trip costs.  It is essential that our fundraising efforts be successful, as they keep the cost of the trip at a low $450 for every student. While we hope that all students will be able to attend and benefit from this activity, attendance is not required and in no way affects the student's instruction or evaluation. We do reserve the right to cancel this field trip if sufficient money is not available to cover all costs. We invite parent chaperones to go with us. Chaperones are able to attend and assist at a discounted rate of $400.00 per chaperone (based on double occupancy) or $500 per chaperone (based on single occupancy). In addition, chaperones will be required to complete a background check and pay a fingerprinting fee required by Fulton County for overnight trips. Please contact Wendy Wilson (Band: wilsonwm@fultonschools.org), Vanessa Edwards (Chorus: edwardsv1@fultonschools.org), or Tim Anderson (Orchestra: andersonT1@fultonschools.org) with any questions or concerns.

Specific information regarding lodging/rooming, transportation, meals, itinerary, medications, fundraising opportunities and other important trip details will be distributed at a later time. The purpose of this letter is to determine interest and commitment to the Orlando Trip. If your child is able to attend the trip a non-refundable $150 deposit and permission form is required no later than Thursday, September 26, 2019. Parents wishing to chaperone must also turn in chaperone commitment and a non-refundable deposit of $100. The deposit and permission form is necessary and extremely important to determine instrumentation/voicings for the ensembles as well as viability for the trip.

CANCELLATION POLICY 
If entire group cancellation is made prior to February 1, 2020, $50.00 per person will be assessed for Administrative Services as well as any cancellation fees assessed by vendors.

All deposits made to vendors are non-refundable. Individual cancellations received on February 1, 2020 or after are completely non-refundable.

On or before December 13, 2019: -Full Refund, less Vendor deposits and Administrative Service Fee.
December 14, 2019 - January 31, 2020: - 50% Refund, less Vendor deposits and Administrative Service Fee
February 1, 2020 or after: - No Refund

What to do now?

Permission Form or Opt Out Form

Please fill out the online Smartwaiver Form (permission form or Opt-Out form) found in Google Classroom using your child's Google Classroom account, or linked to your child’s music website. Parents and students should fill out the Permission or Opt-Out Form together. Please use student's given name. The completed Permission or Opt Out form is DUE: September 26, 2019.

All students must have medical insurance coverage to attend the trip. When completing the permission form, have your student's medical insurance information handy. If your student does not have medical insurance, TW LORD is a low cost option (1-800-633-2360). More information is available in the front office.

Make Payment
Please pay all deposits / payments online, as AMMS is no longer accepting checks or cash as school payments. Links to pay online through OSP can be found on the Band, Chorus and Orchestra websites. All deposits are non-refundable.

SCHEDULE

September 26, 2019 -$150.00 per student deposit / $100.00 per chaperone deposit
October 18, 2019 - $100.00 per person (chaperone and student)
November 20, 2019 - $100.00 per person (chaperone and student)
January 19, 2020 -$100.00 per student/$100 per chaperone (FINAL PAYMENT DUE)

*please note - you may pay in full at any time - this payment schedule is just a suggestion

February 2020 - Detailed rooming list, including chaperones, published

Full payment of the trip must be complete in order to participate in roommate selection in February. Students completing forms and/or providing insurance past this deadline date will be placed in rooms based on availability.

Discipline

Any student who does not demonstrate appropriate school behavior or receives a suspension (ISS or OSS) prior to the trip as a result of an office referral may be ineligible to attend the trip at the discretion of directors and administration. This begins immediately.

 

We are excited about the opportunity to have our ensembles perform in this festival and we hope everyone is able to share in this musical experience together.

Thank you for sharing your students and their musical talents with us!!!

 

Musically yours,

Wendy Wilson                    Vanessa Edwards                Tim Anderson

 

First Student's Name

First Name*

Last Name*

Phone*
First Student's Date of Birth*
First Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
First Student's Signature*
Second Student's Name

First Name*

Last Name*
Second Student's Date of Birth*
Second Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Second Student's Signature*
Third Student's Name

First Name*

Last Name*
Third Student's Date of Birth*
Third Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Third Student's Signature*
Fourth Student's Name

First Name*

Last Name*
Fourth Student's Date of Birth*
Fourth Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Fourth Student's Signature*
Fifth Student's Name

First Name*

Last Name*
Fifth Student's Date of Birth*
Fifth Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Fifth Student's Signature*
Sixth Student's Name

First Name*

Last Name*
Sixth Student's Date of Birth*
Sixth Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Sixth Student's Signature*
Seventh Student's Name

First Name*

Last Name*
Seventh Student's Date of Birth*
Seventh Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Seventh Student's Signature*
Eighth Student's Name

First Name*

Last Name*
Eighth Student's Date of Birth*
Eighth Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Eighth Student's Signature*
Ninth Student's Name

First Name*

Last Name*
Ninth Student's Date of Birth*
Ninth Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Ninth Student's Signature*
Tenth Student's Name

First Name*

Last Name*
Tenth Student's Date of Birth*
Tenth Student's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Tenth Student's Signature*
Student's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Chaperone Information: (Please select one.)
Chaperone*

If you selected that you can chaperone, please continue below:


Name of Chaperone:
Relation of Chaperone to Student:

If Other, please indicate relation:

Best Contact Phone Number / Cell Phone:

Email Address:

Insurance Information:


Chaperone's Insurance Provider:

Insurance Group ID Number:

Medical Insurance Medical ID Number:

Dietary Restrictions:  (Please select from below)

Dietary Restrictions:
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
I would like to donate to the field trip scholarship fund for students in need of financial assistance. If so, please give amount below and include that amount in your student's payment.

Amount: $
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Student's Identification Number: *

Homeroom Teacher: *
Grade:*
Ensemble:*
If Band, please select Instrument:
If Chorus, please select Part:
If Orchestra, please select Instrument:

Insurance Information:


Student's Insurance Provider: *

Insurance Group ID Number: *

Medical Insurance Medical ID Number: *
Student Medications:*
Dietary Restrictions: *
NONE
Vegetarian
Gluten Free
Other

If Other Dietary Restrictions please list:
The provided meal on our performance day will be pizza. Please select the type of pizza that you would like to have. You may only choose one option.*
Do you have a gluten allergy which would require you to have a gluten free pizza?*

Please enter the student's cell phone number above that he/she will carry with him/her on the trip. Enter number in the following format. XXX.XXX.XXXX (Student cell phones are not required but many will bring them.)

Student Behavior Agreement:

I will abide by all school rules and policies while on this field trip.  Although I am away from home, I understand that while in Orlando and on this trip, I will be representing my school, music program, community, and parents.  Furthermore, I understand that if I disobey school rules I may be subject to appropriate consequences as outlined in the Fulton County Code of Conduct which may also include being sent home early from the trip at my parent's expense.

Do you (parent(s) and student(s) understand and agree to abide by school rules, trip policies, chaperone and director instructions and follow Fulton County Code of Conduct?*
No
Yes

Permission/Release/Medical: In consideration of Fulton County Board of Education, participation in the AMMS Band/Chorus Orlando Fest Trip in addition to being transported to and from the event, and in consideration of the Board's approving the activity, the undersigned Participant and the undersigned Parents or Legal Guardian of the Participant do hereby release, remise, and forever discharge, indemnify and agree to hold harmless the Board, the teachers, members, agents, servants, employees, chaperones, and other representatives and/or any one or more of any thereof again any claim, demand or cause of action whether now in existence, or hereafter arising, for any injury to the person or for the death of the Participant or loss of or damage to property of the Participant, arising out of, resulting from, caused by, occurring during, or in any way connected with the aforesaid student trip. My child understands that all school rules apply and that the chaperones and sponsors must be obeyed at all times. The chaperones and sponsors may seek emergency medical treatment if necessary. All prescription medicines sent must be labeled with signed instructions for administration and given to the appropriate persons. (PARENTS: Please type in initials in the box above.) *
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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